Individual
DR. CAROLE SUZANNE WINDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6140 LINE AVE, SHREVEPORT, LA 71106-2051
(318) 865-4620
(318) 865-4622
Mailing address
6140 LINE AVE, SHREVEPORT, LA 71106-2051
(318) 865-4620
(318) 865-4622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4522
LA
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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